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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - AABB (formerly American Association of Blood
Banks), an international non-profit transfusion medicine organization
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - At the same time, our health system was thinking about becoming an accountable care
organization and
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - or not—is complex and requires careful coordination among physicians, nurses, and others within the organization … Geneva, Switzerland: World Health Organization; September 2014. [Available at] 14.
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - Often people who study organizations talk about tacit knowledge, which is the knowledge on how to get
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psnet.ahrq.gov/issue/producing-effective-treatment-enhancing-safety-medical-physicists-strategies-ensure-quality
July 12, 2023 - July 12, 2023
Increasing compliance with the World Health Organization surgical safety
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Delayed Sepsis Management Due to Ambiguous Allergy
Citation Text:
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - SPOTLIGHT CASE
Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad
Citation Text:
Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound
and Patient Safety
July 1, 2018
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
Case Objectives
Unders…
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - Don't Dismiss the Dangerous: Obstetric Hemorrhage
November 1, 2016
Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
Case Objectives
List the common causes of obstetric hemorrhage and the need for a unit-sta…
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psnet.ahrq.gov/issue/patient-safety-engaging-medical-staff-toward-common-goal
September 08, 2021 - January 17, 2018
Becoming a high-reliability organization through shared learning of
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Innovation Snapshot
Risk assessment is an important tool a healthcare organization may use to prevent
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - instead of scrolling to select the correct value.(12-14)
In 1997, ECRI, a nonprofit health research organization
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Washington, DC: American Organization of Nurse Executives (AONE) 2005. http://www.aone.org/aone/advocacy
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Engagement should also be tailored to the specific problems a health care organization would like to
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Checklists
Checklists are cognitive aids that have been shown to prevent errors in several high stakes organizations
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - I also think ACOs [accountable care organizations] provide a way of aligning across the spectrum of care … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - I also think ACOs [accountable care organizations] provide a way of aligning across the spectrum of care … Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - By contrast, latent errors are literally
accidents waiting to happen—failures of organization or design
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - This principle is commonly utilized to ensure
temporal coordination within an organization, thereby